Shelly Crane, AGNP-C
NPI 1104465558ActiveIndividual· Nurse Practitioner, Primary Care· Coeur D Alene, ID
Nurse Practitioner, Primary Care (AGNP-C) in Coeur D Alene, Idaho, licensed in ID, with an NPI issued in January 2020. Part D covered 74 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1104465558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C |
| Sole proprietor | No |
| NPI issued | Jan 2, 2020 |
| Last updated in NPPES | Jan 2, 2020 |
| Certified by provider | Jan 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 39760 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Geriatric Medicine (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 92 30-day fills |
|---|---|
| Total drug cost | $1,285 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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